Compliance Specialist - Apply Now!

Company: Continuum Rehab Group
Location: Carrollton
Posted on: May 14, 2022

Job Description:

Position DescriptionPosition DescriptionResponsible for the compliance, integrity, and clinical quality of rehabilitation services. With the direction from the COO and/or SVP of Operations, the position will oversee, direct and coordinate compliance activities and clinical education and programs associated with the operations of the Rehabilitation Services through the delivery of cost effective and quality services. Expected to exercise management responsibility over the areas ensuring efficient services that are designed to meet the needs of patients, physicians, clinical partners and staff.Principal Responsibilities--- Assume responsibility as Compliance Specialist--- Understand and practice compliance standards, including HIPAA confidentiality and security, and Medicare required documentation--- Establishes policies and procedures for compliance with all regulations; monitors compliance to policies and procedures--- Maintain comprehensive, internal Compliance Policies in all relevant areas and ensure that they are effectively implemented--- Develop compliance training programs in all relevant areas and ensure implementation--- Responsibility of investigations to assure compliance with our code of conduct, established policies & procedures and regulatory --- Communicate findings and remediation actions to executive leaders to ensure awareness and issue management is being addressed efficiently--- Track and analyze state and federal rules and regulations, specifically related to rehabilitation services regarding Medicare, Medicare Advantage, Part B, Managed B, and Medicaid plans--- Monitor industry best practices and make recommendations for organizational policy and procedure change that will result in compliance--- Efficiently and effectively document information and activities so they can be tracked, trended and utilized for compliance verification and process improvement--- Collaborate with legal counsel, operations leaders, and others as appropriate--- Investigate, document, and respond to concerns and inquiries--- Report findings and remediation actions and communicate to executive leaders to ensure awareness and issue management is being addressed efficiently and secure continuous improvement--- Responsible for all aspects of service line programs/activities, including program development, patient satisfaction and performance improvement activities--- Provides leadership support to Rehabilitation Service directors and therapist in the form of resources, tools, education and training--- Assists with preparations of rehabilitation services for licensure certification surveys--- Responsible for the appeals and denials department to ensure claims are processed timely with required documentation for successful ADRs. Track and trend denials and provide appropriate operational education and actions based on trends--- Responsible for keeping up-to-date on current practices in the field through review of literature, attending conferences and seminars, continuing education requirements, licensing and compliance needs--- Travel within the service areas to provide support, education, training, investigations, seminars, continuing education, and compliance needs--- Other duties, responsibilities and activities may change or assigned at any time with or without notice**Must have a rehabillitation background with compliance experience. Take advantage of this opportunity- The time is now to make a change!For more information about this opportunity, please contact:Ayrika Johnson - Director of Talent AcquisitionContinuum Rehab GroupCall/Text: 469.257.4124Email: ayrika.johnson@crgrehab.comTo view all opportunities available with Continuum Rehab Group, please visit us at
PandoLogic. Keywords: Regulatory Compliance Specialist, Location: Carrollton, TX - 75007

Keywords: Continuum Rehab Group, Carrollton , Compliance Specialist - Apply Now!, Other , Carrollton, Texas